FORM 1023-EZ for COMMUNITY OF MINDFUL LIVING - LONGISLAND INC

Field Data
EIN 83-1229797
Case Number EO-2018243-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY OF MINDFUL LIVING - LONGISLAND INC
Organization’s Mailing Address 576 GUY LOMBARDO AVE
City FREEPORT
State NY
ZIP 11520-6279
Accounting period End 12
Primary contact name ROBERT TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARC WORTSMAN
PRESIDENT
16 COLONIAL AVENUE
MERRICK NY 11566

Officer/Director/Trustee Two

EVELYN ROMMEL
TREASURER
3 REGENT STREET
HICKSVILLE NY 11801

Officer/Director/Trustee Three

ALIZABETH NEWMAN
SECRETARY
329 EAST CHESTER STREET
LONG BEACH NY 11561

Officer/Director/Trustee Four

ROBERT TAYLOR
DIRECTOR
576 GUY LOMBARDO AVENUE
FREEPORT NY 11520-6279

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT TAYLOR
Signature Title DIRECTOR
Signature Date 8/29/18
EIN 83-1229797
Case Number EO-2018243-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY OF MINDFUL LIVING - LONG ISLAND INC
Organization’s Mailing Address 576 GUY LOMBARDO AVE
City FREEPORT
State NY
ZIP 11520-6279
Accounting period End 12
Primary contact name ROBERT TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARC WORTSMAN
PRESIDENT
16 COLONIAL AVENUE
MERRICK NY 11566

Officer/Director/Trustee Two

EVELYN ROMMEL
TREASURER
3 REGENT STREET
HICKSVILLE NY 11801

Officer/Director/Trustee Three

ALIZABETH NEWMAN
SECRETARY
329 EAST CHESTER STREET
LONG BEACH NY 11561

Officer/Director/Trustee Four

ROBERT TAYLOR
DIRECTOR
576 GUY LOMBARDO AVENUE
FREEPORT NY 11520-6279

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT TAYLOR
Signature Title DIRECTOR
Signature Date 8/29/18

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